| Name: | WISE OMFS, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jul 2022 (2 years ago) |
| Entity Number: | 001-031-982 |
| Register Number: | 001031982 |
| County: | Montgomery |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497593925 | 2024-07-18 | 2024-07-18 | 2074 VALLEYDALE RD, HOOVER, AL, 352442084, US | 2074 VALLEYDALE RD, HOOVER, AL, 352442084, US | |||||||||||||
|
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| Phone | +1 205-982-7105 |
Authorized person
| Name | VERONICA JACKSON |
| Role | RCM MANAGER |
| Phone | 2059191750 |
Taxonomy
| Taxonomy Code | 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| PORTE, JOSHUA | Organizer |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
